Here’s the Rub

A couple of different things are bugging me today, so here’s the rub: The NCBTMB referring to their licensing exams as certification exams. There was a period of time when the licensing exams were referred to as the NESL–National Exam for State Licensing.

National Certification, as it previously existed, was retired on Dec. 31, 2012. People who are currently Nationally Certified under the old paradigm have until 2016 to comply with the requirements for the new Board Certification, or lose their “old” certification. I’m not sure of the date that the NCBTMB decided to drop the term “NESL” which indicated a licensing exam as opposed to a certification exam, but now that they have dropped that and are just referring to it as the NCETM/NCTMB, to me it is confusing the issue of what certification is–and is not. I spoke my mind about this yesterday to Steve Kirin and Leena Guptha, and they promised to take this under consideration. As Leena pointed out, they have a lot of things that have gone wrong over the years, and they can’t all be rectified overnight. I do hope they change back to the NESL…in reality they are the same exams, but using the NCETM/NCETMB acronyms has lead people to believe they are Nationally Certified, when in fact they are not–they have simply passed a licensing exam given by that Board, but it is not a certification.

In another development, AMTA sent out a press release this week announcing their new policy of making chapter fees optional. Previously, each chapter has charged whatever they deemed fit for their members to pay. In my state of NC, that was $15…an amount that I found quite reasonable because our chapter rocks! We have a very active organization.

I heard through the grapevine a month or so ago that this had happened, so I went to the source. In a conference call I had with Bill Brown, Winona Bontrager, and Chris Voltarel, they confirmed that the Board of Directors had made this decision in an executive session at the annual convention held in Dallas/Fort Worth, which I personally felt was improper, but they stated to me that it was not improper because direct competitors were present in the open board meeting. I assume they meant representatives of ABMP. I accepted that explanation. The fact is, ABMP is trouncing AMTA when it comes to the membership numbers. AMTA has been around for 75 years. ABMP has only been around for 27 years, and according to their website, they have over 80,000 members. AMTA claims to have about 56,000, the last I heard, but I have heard rumors of lower numbers.

However, I did inform them that I had also heard that Chapter presidents were upset about it, and that a petition was rumored to be going around protesting the decision. The response was “we’ll cross that bridge when we come to it.” From my reports, the petition does exist but has not yet been sent to AMTA. Other than people grumbling about it on FB, there hasn’t been much said–maybe because most people just didn’t know. I made another phone call this week and complained because they hadn’t put out a press release, and that I thought the membership ought to be informed. Communications Director Ron Precht told me that members were being informed at renewal time, so they hadn’t put out anything about it, but apparently they changed their minds.

I posted the press release on my FB page a couple of days ago, and immediately got a few comments from people wondering if the chapters were going to suffer because of this move. I confess I am wondering myself. I hope not, but I have my doubts about the wisdom of this move. I reported on AMTA’s financial health a few weeks ago, and while they’re certainly not in any financial trouble as a national organization, I can’t speak to the financial health of the individual chapters.

One thing I can speak to is the fact that chapter money is used to pay lobbyists, among other things, and we need government representation now more than ever. The ACA stands to have an impact on the massage therapy profession. There are other things swirling from several fronts that could require legislative changes in many states, such as the Model Practice Act the FSMTB is working on, a continuing education paradigm shift that may or may not happen, and other things that government relations representation is clearly needed for. Although most chapters have a government relations representative, those folks are volunteers, and in all likelihood the vast majority does not have the same political savvy as someone who lobbies for a living. Here in NC, we were paying our lobbyist $20,000 a year the last time I looked. Experienced government relations people need to be on the scene anytime a sunset period is coming up, or anytime statutory changes are being considered. I don’t think the national office has the manpower to be everything to every state when it comes to that.

AMTA states in the press release that they will offer several new services to chapters, so they won’t be part of chapter expenses. And, if a chapter finds that it needs additional financial assistance to maintain necessary and high-caliber services to members, the National Board will look at providing funding. I hope they look hard at paying our lobbyists and not allowing crappy legislation to take over–particularly sunsetting a practice act.

One of the questions that arose on my FB page was what would happen to the huge donation AMTA makes to the Massage Therapy Foundation every year….usually that’s in the amount of $450,000. If they’re not taking it in, I don’t see how they can give it out. I certainly do not want to see the support for the Foundation fall by the wayside.

There are a number of people out there who aren’t going to pay any kind of fee that’s optional. On the whole, though, I think a lot of devoted AMTA members will continue to support their state chapters.

As a member, I have to say that I don’t think this was handled in the right manner. My own opinion is that instead of an executive decision that was made and then foisted upon us, the membership could have been surveyed, or at a minimum, the state chapter presidents polled. My guess is this we haven’t heard the last of this. I’ll take bets they’ll have to back up and punt.

Love and Light and Fuck You, Namaste

I’m going to spare the magazines that host my blog from having to call me up and tell me they are censoring me because of this blog…I just won’t load it to them. This is my personal site and I can be just as irreverent as I please. I can also take a break from writing about massage politics today just because I want to.

I don’t recall which of my illustrious FB friends I first heard use the phrase “Fuck you, Namaste,” but it was in reference to the behavioral trend that some massage therapists have, presenting themselves to be all about love and light and positivity and serenity, while at the same time letting their own true judgmental tendencies, their passive-aggressive hostility, and their lack of critical thinking skills shine right through. I see it every day. In fact it gets thrown in my face most days.

I am plain-spoken and leave people no room for doubt about my opinions. That sometimes comes across as rudeness when I don’t intend that, especially on the Internet where you can’t hear people’s tone of voice or see their body language or have face to face communication. There are also plenty of times when I intend for my rudeness to come through loud and clear. I can be passionate about something and go from zero to bitch in 2.5 seconds in defending it. I admit that I am missing the tact gene. The difference in me and some people is that I own up to it. I call it like I see it. No one in the massage profession can truthfully say that I have ever presented myself as love and light. I have not. Nor am I the “bitter, vindictive” woman that someone referred to me as last week.

I report on massage politics and the actions (or inaction) of our professional associations, along with a healthy dose of my own opinion about it. I proselytize for massage therapy research, and I expose things that have been proven false, like the myths of massage, or those that are scamming massage therapists and/or the public.

A frequent topic of argument on massage forums is energy work. People have the mistaken conception that I am against energy work. I am not against energy work; I started practicing it myself in 1993, five years before I took my first massage class. I am against holding it out to the public as something other than what it is–healing that you take on faith. It is the same with religion. There’s no double-blind study that we can conduct to prove the efficacy of energy work or the existence of God. You take it on faith, if you’re so inclined. Just say so. That is all.

Tonight I was in a discussion that escalated–it had nothing to do with energy work–but again, the old Fuck you, Namaste, is rearing its head. There are several lively groups of MTs on FB that regularly get into debates on any topic under the sun pertaining to massage. And as is the case when more than one person is present, there is going to be some disagreement. I suggested that someone ought to start a group called “Love and Light” for people who just want to schmooze and pat each other on the back. I won’t be the one starting that.

Debate is a polite word for argument. I wrote a blog about it several years ago. Emotions run high. While I try to refrain from name-calling, there’s plenty of times when I’d like to. If you’re going to make a claim on a public forum, you ought to be prepared to back that up with something besides website hype. If you’re throwing out a “question” to the group that turns out to be one long sales pitch for your MLM group or whatever you’re selling, don’t expect that to fly by too many of us who regularly question things. We’re not that stupid.

There’s a lot of old sayings I can think of concerning the character of human beings. One is “If you spot it, you’ve got it.” Another is “While you point the finger, three of them are pointing back at you.” One old favorite is, “What you think of me is none of my business.” My personal favorite is one that I just saw the other day: “I don’t have an attitude problem. You have a problem with my attitude and that’s not my problem.”

I’m not Miss Popularity. Some people who detest me follow my blog or stay on my FB page because they are interested in knowing what’s going on with the organizations even though they don’t like me personally. That’s fine with me. Somehow I will survive knowing that you don’t love me. And there genuinely are some people here that I can say I have never seen act even remotely hostile or patronizing. But when I see a “Fuck you, Namaste” coming from someone who claims to avoid all negativity while they are going about spreading fairy dust, let me just say, I have had my laugh for the day at your expense, because I have enough balls to own my character traits–or lack of them–and you don’t.

Complaints about my unprofessional behavior may be directed to 1-800-WHAAAAA. Namaste.

The Financial Health of Our Organizations: NCBTMB

Thank you for your interest in my annual reports on the financial status of the major non-profit organizations of the massage therapy profession. I am not an accountant or a financial expert. This information was taken directly from FORM 990, the Return of Organization Exempt from Income Tax, which is published on Guidestar. This filing is for NCBTMB‘s fiscal year ending12-31-2012. Non-profits are on a different tax filing schedule than the rest of us.

This has not been a banner year for the NCBTMB. Revenues are down, no big surprise since they have been steadily declining every year since the MBLEx was introduced in 2007. During 2007, the revenue of the NCB was at an all-time high of $8,655,003. During 2012, the revenue was down to $4,616,227, a decline of over 4 million dollars in the past five years. If that isn’t the handwriting on the wall that it is past time for the NCBTMB to get out of the entry-level licensing exam business, I don’t know what is. AMTA, AFMTE, and ABMP have all supported the MBLEx as the licensing exam of choice. They just refuse to give it up.

In the past year alone, since my 2011 report, the examination revenue dropped over a million dollars. Recertification income actually went up by a little over $241K, but fees from the approved providers went down by almost $50K. Sales of their study guide for the exam is down by almost $33K as well. While sales of their mailing list remained stable at just over $40K, the revenue listed as “other” went down by $20K.

Executive compensation reflected then-CEO Mike Williams’ salary of $237,500, about $20K less than Paul Lindamood received on his best year. Board members at the NCB are compensated; the Chair during this period, Alexa Zaledonis, received $33,400. I won’t complain about that. In fact, I haven’t complained about any of the BOD compensation since the day Donna Feeley (now deceased) left office…during her two years at the helm, she got more than $100,000 a year. Legal fees were higher during Feeley’s term (2207-2008) than they have ever been before or since, hitting an all-time high of over $925K during her first term. That is attributable to a number of legal actions they brought against states who chose to use the MBLEx and to lawsuits from former staff members. During 2012, over $531K was spent on legal fees–my guess is for the same reasons.

Marketing and promotion, although it has gone down, seems to be disproportionately high to me, with $356K paid to their marketing firm, The Ohlman Group, and an additional $311K + spent on promotions and advertising. A little over $341K was spent on conferences and meetings.

The major expenditure is the exam administration fee paid to Pearson Vue, which is almost $900K. Another big expenditure is their rent, which is over $178,000–or almost $15K a month. I guess I am ignorant of real estate costs in the Chicago area, but it would have been smart a long time ago for the NCBTMB to purchase a property to house their offices; it may have been paid off by now or at least be building equity.

The net assets of the NCBTMB have declined by about $93K since last year, while their liabilities have increased by over $226K. The bottom line is, the NCBTMB has gone from showing a net of over $227K in 2011 to showing a loss of almost $174K in 2012.

I don’t think their losses are over. They have spent a lot of money during 2013 in rolling out the new Board Certification, which isn’t exactly setting the world on fire. I have heard the rumor that they appealed to the other massage organizations for financial aid at the recent Coalition meeting. As recently as a year or two ago, Rick Rosen and I were both calling on the FSMTB to offer the NCBMTB a financial incentive to get out of the entry-level exam business. It didn’t happen then, and it still has not happened. I doubt if the FSMTB is in any need of the NCBTMB’s test bank, and if they’re not, they really don’t have much to gain, if anything, by paying them off. Although the number of states that accept either the MBLEx or the Entry-Level State Licensing Exam from the NCBTMB are about the same in number, the public has spoken loud and clear about which exam is the exam of choice. The MBLEx is clearly at the head of the pack.

With net assets of a little over $2.5 million, the NCBTMB is not in immediate danger of closing the doors. Neither are they anywhere near being “in the money.”  Any organization needs cash reserves in order to survive–and they also need positive cash flow. If the NCB is going to survive at all, it’s just my opinion that they had better commence with the specialty certification exams and sooner rather than later. If they don’t get on the ball with that, someone may beat them to the punch. The problem is that it takes a lot of money to develop such things, and it looks like they may not have it. Time will tell.

The Financial Health of Our Organizations: COMTA

Thank you for your interest in my annual reports on the financial status of the major non-profit organizations of the massage therapy profession. I am not an accountant or a financial expert. This information was taken directly from FORM 990, the Return of Organization Exempt from Income Tax, which is published on Guidestar. This filing is for COMTA‘s fiscal year ending 2-29-2012. Non-profits are on a different tax filing schedule than the rest of us.

COMTA, the Commission on Massage Therapy Accreditation, seems to be losing ground both financially and as an accreditation body. According to their website, they are down to just 68 accredited schools. It has always been distressing to me that more school owners and program directors don’t seek out accreditation, and I don’t believe they’ve ever had more than 100 accredited at any one time. The backward trend is not a good thing.
COMTA is a smaller organization than most of the other non-profits, because of the nature of their work. They are not a membership organization and they don’t have a big staff.

COMTA’s Executive Director doesn’t receive anywhere near the amount of compensation of those in comparable positions in the membership organizations; Kate Ivane Henri Zulaski’s salary is currently listed at $80,426 in reportable compensation from the organization, and an additional amount of $12,000 is listed as compensation from the organization and other related organizations. However, that is a pretty big jump from three years ago, when it was slightly over $57,000. Since the organization seems to be on a downhill slide at the moment, $23,000 worth of raises in three years seems a little bit optimistic while revenues are going down. Their October 2013 update listed 13 schools that have voluntarily withdrawn; the March 2013 lists three others, plus one school that closed, for a total loss of 17 schools this year.

COMTA  grew out of the American Massage Therapy Association’s (AMTA) Program Approval Review Committee and the Commission on Massage Training Approval & Accreditation (COMTAA) organization. In 2002, COMTA was recognized by the Secretary of Education to accredit non-degree and degree granting institutions that offer massage and/or bodywork training programs. In 2004, COMTA separated itself from the AMTA, becoming an independent organization. COMTA was subsidized by AMTA for a number of years. However, according to Larry LaBoda, Chief Financial Officer of AMTA whom I spoke with yesterday, they are no longer contributing funds to COMTA.

Other than Zulaski, COMTA  employs only one staff member. Site visits are carried out by volunteers who get their travel expenses paid and a $100 per diem. It’s great that volunteers will take time away from their offices to do the visits, as most would probably make a good deal more money if they stayed at home and did massage. Even though site visits are made by volunteers, COMTA does have to pay for their travel, and that is their heaviest expense. For the past two years, that has held steady at slightly over $122K per year. In 2011, COMTA spent over $11K on conferences and conventions; in 2012, that was down to a little over $8K–approximately the cost of a booth at 1 or 2 conventions.

In 2011, COMTA showed net revenue of over $511K. In 2012, that was down to a little over $441K. In 2011, total expenses were a little over $453K. In 2012, expenses were a little over $421K. Revenue less expenses in 2011 were over $57K; in 2012, that was down to a little over $19K.

Non-profits are just that–organizations that are not in business to make a profit. It does serve them to keep several years worth of operating money on hand, in order to sustain the organization. They are showing a net asset/net fund balance of a little over $170K. In the general scheme of things, I don’t think that’s enough. It’s not equal to one year’s worth of expenses.The fees for accreditation are not cheap; you can see those by clicking here. Personally, I want to see COMTA survive, and thrive. I’d like to see a lot more schools recognizing the value of accreditation.

In addition to the expense, I often hear the argument sometimes from school owners that “I don’t want anybody telling me how to run my business.” It isn’t about that. It is about having good policies and procedures and enforcing them–and documenting them. It is about saying “here are some good standards, and I’ve chosen for my school to meet them.” COMTA’s Self-Study Report is freely available on their website, and I would encourage any school owner to utilize it to see how you’re stacking up.

Report from Seattle and Some Further Explanation

I was invited to Seattle by Dr. Ravensara Travillian to speak at a fund-raising dinner this past Monday night, to kick off her efforts to get a university-level certificate massage program started. Dr. Christopher Moyer was the other invited speaker, so I felt like I was, as we say in the South, “in high cotton.” I had a great time visiting with Ravensara and her husband Iain, and Christopher.

Most of our visit was spent discussing the project. Raven invited me on the basis of my knowledge of regulation and legislation, of what our massage organizations are up to, and the state of massage therapy education in the US. Prior to my going out there, I contacted some of our leaders to make sure I had up-to-date information on what’s going on with them. In fact, this week the Coalition (previously referred to as the Leadership Summit) is taking place in Florida…the CEOs/EDs and Chairs of the Boards of ABMP, AFMTE, AMTA, COMTA, FSMTB, NCBTMB, and the MTF are coming together to discuss the state of the union, so to speak.

I truly enjoyed seeing old friends and meeting some new ones that I had previously only met on FB, and some I didn’t know at all. I appreciate the fact that they came to hear more about this initiative. Good conversation was stimulated, good questions were asked. The speakers were videoed and that will be released in a day or two, so I’m not going to rehash everything that happened there; I’ll share the video when it comes out.

I particularly appreciated the presence of Bodhi Haraldsson, who is the Research Director at the Massage Therapists Association of British Columbia. Bodhi was appalled at my report on the financial status of MTs in the US, provided to me in the form of the Annual Report from the FSMTB. Their information was obtained by a survey of MTs in the member states, and compiled from surveys that were sent out by the AMTA and ABMP to their members, and the NCBTMB to their certificants. All in all, about 200,000 MTs were surveyed. The piece of news that shocked Bodhi was that 61% of MTs in the US say that they cannot support themselves/their families with their income from massage.  Only 2% of therapists surveyed stated that they make over $70,000. According to Bodhi, the five busiest therapists in his own clinic make more than that. Personally, I think that’s a direct reflection of the high standards of education and the devotion to research practiced by our neighbors in BC.

Ravensara’s plan to take massage education up another notch has been criticized by people who don’t understand what it’s about. No one is going to be forced into getting higher education. Since I said this was the report on Seattle and a little bit more, I’m going to seize the moment to repeat a little of what I said there and go a little in depth about the environment of massage. There seems to be a lot of confusion about many different things that are currently on the horizon. One of them is the Affordable Care Act, which contains the stipulation allowing massage therapists to direct bill insurance as long as they are licensed as health care providers in their state. I see the comments all the time that “I don’t want the government telling me what to do.” “I don’t want to get bogged down by the insurance companies.” The ACA does not mandate that anyone has to file insurance. If you want to run a cash practice, you can carry on as usual. Those who don’t want to participate in insurance billing should not interfere with those of us who do.

Another thing that seems to be confusing people is the ELAP (Entry Leval Analysis Project). As I have stated on my blog on several occasions, I had issues with the way that project was rolled out and the way it was presented. However, I do think it will turn out to provide valuable information, and we’ll all know on December 16, which Anne Williams of ABMP informed me will be the unveiling of the 776-page document.

I have seen school owners stating that they didn’t want more regulations telling them what to do and how to run their school. Again, this seems to be a point of confusion. The ELAP is a research project. Period. It is not regulatory in any way. No one will be forced to adopt whatever policy recommendations might come out of it, because they will be just that–recommendations.

AMTA, ABMP, and the AFMTE all have benefits and annual conferences for educators. They have projects going on to educate teachers in research literacy, as does the MTF. AMTA has teacher-track classes and research-track classes at the annual convention. ABMP has an upcoming class in teaching the teachers to write core curriculum. None of these organizations are regulatory. They can show you how to write your core curriculum, suggest what should be included in it, and show you how to teach research literacy. They can’t make you do it, or make you do it their way.

COMTA, which is a strictly voluntary accreditation body and the only one that was founded for the specific purpose of accrediting massage therapy, although they have now also taken in aesthetic accreditation, spells out standards for excellence in education. I hear from school owners that they don’t seek the accreditation because they don’t want anyone telling them how to run their school. The Standards are on COMTA’s website for anyone to see, and I think it would behoove any school owner to do their self-study report to see how you stack up. COMTA does not limit what you can teach to evidence-based modalities, which personally I find unfortunate, but if you’re using that for the argument against it, you’re wrong. If you are teaching belief-based energy work at your school, you’re free to carry on. They want to insure that you are teaching what you say you are teaching and that you are including the subject matter that matters to massage. They spell out standards for good record-keeping, good financial practices, insuring that teachers are competent to teach their subject matter, having and abiding by policies and procedures, and other such things, and they ask you to document it in writing. COMTA is not a regulatory organization. There are other accreditation bodies out there that take in massage therapy, among other things, and they are not regulatory, either. It’s a voluntary process that allows you to say “Here are the standards we have chosen to meet.”

Even the Federation of State Massage Therapy Boards is not regulatory, in and of itself. They are an association of the boards in regulated states. They are soon to unveil a Model Practice Act that they have worked on for the past few years, and they would like for the states to adopt. Notice I said “they would like for the states to adopt.” The purpose of that is to make practice acts uniform and facilitate reciprocity. It could require legislative changes in every state that already has a practice act, should the member states chose to adopt it. I don’t look for that to completely happen in my lifetime. I do imagine it will be discussed this week by the Coalition, along with the ELAP and other issues they are considering.

A couple of months ago, I sent the leaders of all the organizations my blog urging them to pool resources to get the NCBTMB written out of the statutes in every state. I am hopeful that topic will be discussed as well. The NCBTMB is not a regulatory organization–but their exams are written into the statutes in many states. That represents an improper delegation of authority; there is no government oversight and no public accountability there. This is not a vendetta against the NCBTMB; it is an attempt to rectify something that has been wrong all along.

Now I’m down to the function of state boards. I constantly get complaints from people about how long it is taking them to get their exam scores or get their license. There is no true reciprocity in the United States. The fact that you have a license in one state does not include any kind of guarantee that you’ll get one in a different state, regardless of how long you may have been practicing. Most state boards have it stated on their websites that processing out of state requests takes longer. My own experience in serving our state board for five years was that many times, a license is held up because the applicant failed to provide a piece of documentation. Sometimes, the holdup is that they have to check out your transcript to make sure your education in the state your are coming from stacks up to the education required in the state you are moving to. If it doesn’t, you can be denied a license. If you are lacking the documentation, you can be denied a license. They cannot take anyone’s word for it that “I have this, I have that.” If you don’t have the required paper trail of evidence, you’re not going to get it, period.

State boards are the ONLY regulating bodies in massage. They are the ONLY ones who can tell us what to do. The other organizations can suggest. The other organizations can lobby legislators to get laws passed or changed–and state boards can’t. State boards exist for one purpose: public protection. They are not here to serve the interests of massage therapists. They are not here to cater to us or to cater to schools. They exist to license therapists, to spell out the requirements for getting a license, to spell out what they expect from schools, and to deal with complaints from consumers.

I hope that clears up a few things for people. I see misinformation spread around on social media all the time, and all that does is perpetuate misinformation. If you are a massage therapist, you are obligated to know the law in your state. If you are planning to move somewhere, you need to learn the law in that state, prior to packing up and going there. I’ll go further and say that a board member recently said to me “I don’t know the bylaws and rules the way you do.” If you’re going to serve a board, then it’s your business to know them up one side and down the other. Ignorance is not bliss and it’s not an excuse, either. You can’t uphold the rules if you don’t know what they are. The burden is on you.

NCBTMB: At Least They’re Consistent in Bending the Rules

I’ll say one thing for the National Certification Board for Therapeutic Massage & Bodywork: at least they’re consistent in bending the rules.

The NCBTMB has a new Government Relations Liason, Billie Shea of Nevada. Shea has been a massage therapist for 14 years. She has previously served as the chair of  the Nevada State Board of Massage Therapy, and has also served as a delegate and later as a board member on the Federation of State Massage Therapy Boards.

I’ve pitched a few fits recently about the NCBTMB ignoring their own bylaws and breaking their own rules, and I feel compelled to pitch one more. The NCBTMB website announcement about Shea being hired as the new Government Relations Liason states that she has been Nationally Certified for 13 years. According to several of my sources, that is not true.

She was initially certified in 2000 and renewed one time before letting her certification lapse. I contacted Shea by email yesterday to ask her how she became Board Certified since she was not currently Nationally Certified, which is one of the requirements unless you are taking the new exam, and she responded to me that she had been contacted by the NCBTMB and offered the opportunity to become Board Certified early this summer. Her response stated that she forwarded my email to the NCBTMB so they could make a response, and they have not responded.

According to the NCBTMB’s website, there are two paths to Board Certification. One of them is to take the new exam and meet the other requirements, which include 750 hours of education, passing a background check, having 250 hours of work experience, and having a current CPR certification. The other path is to be CURRENTLY Nationally Certified under their old paradigm, and meet the new requirements.

Shea isn’t the only one who has been offered this deal; in my previous blogs about massaging the rules, I reported that two other nationally known massage therapists that I have known personally for years were both offered to be “grandfathered in” to the new Board Certification, in spite of the fact that their own National Certification lapsed about 7 years ago. They both felt it was an unethical offer since it violates the rules of the NCBTMB, and declined to do it.

So, bottom line, Shea has not been Nationally Certified for 13 years as it states on their website. That certainly doesn’t mean she will do any less of a job as their GR person, and since at this point in time I am of the mindset that my own Board Certification is worth about as much as a turd in a punchbowl, it’s no big deal to me. The big deal, to me, is the dishonesty about it. Why put a PR spin on something that is not true? Shea knows it, the NCB knows it, and why is it necessary to pad her resume? She has a long record of volunteer service and it wasn’t necessary at all. For the record, my own National Certification was current, and I did meet the other requirements for Board Certification. I was prepared to take the exam and actually somewhat disappointed that they decided to grandfather the current certificants into it instead of having us take it.
I would like to know why the NCBTMB approached well-known massage therapists who have been expired for years and offered them this “opportunity” to be grandfathered in on Board Certification, and why they feel that’s an ethical practice.

It doesn’t look good when an organization puts something out there, says “here are the requirements,” and then proceeds to blow those off in some self-serving interest. And it doesn’t look good when a therapist accepts that. In fairness, there are plenty of massage therapists who don’t keep up with the rules, including in their own state, much less at the NCB. However, I don’t think Shea falls into that category. She’s been involved in the governance of massage for many years, and if the NCBTMB hired her to be the GR liason, I’m sure they have confidence in her abilities. She ought to know better, and I’m sure she does.

If they are just going to grandfather anybody and everybody who has ever been Nationally Certified, then for crying out loud, just say that up front and be done with it.

Furthermore, I have the idea that there are board members at the NCB, and perhaps even Executive Director Steve Kirin, who do not even have any knowledge of all these surreptitious activities and who would not be in support of them. Whatever else I can say about them, I know for a fact that there are some ethical people there. Apparently there are also some who are not. I would hate to think it was a board decision to put forth requirements, and then throw in the caveat that “but we can ignore these rules for the choice few when it suits our purpose.” I’d rather believe that someone there took it on themselves to act in this manner, but the fact is, it has happened and someone needs to be accountable for it. I have to refer back to that pesky problem, once again, of Improper Delegation of Authority. This is the kind of thing that happens when there is no government oversight and no public accountability.

I will agree with one thing from the NCBTMB’s website: the statement that “a higher credential is needed in the industry.” I agree wholeheartedly, and they need to get it that this is the kind of thing that minimizes the value of the very thing they are trying to promote. Certification needs to mean something. Operating in this manner assures that it does not.

 

NCBTMB Seats New Board Members

The NCBTMB seated their new Board members last week. Bruce Baltz, who has served one term and was not even on the ballot for a second term, was tapped as the new Chair-Elect. Michael McGillicuddy, who was also not on the ballot, was appointed as a therapist member by the Board, and Teresa M. Matthews is filling the remaining therapist member seat. Dr. Stuart Watts has been named the public member.

I wish them all luck, and I feel that they’re going to need it.

To start with, it is my opinion that the NCBTMB is leaving themselves open to a legal challenge of any decision this board might make. I have maintained since his candidacy was announced that Dr. Watts was inappropriately put forth as a public member. I don’t personally know Dr. Watts, but as soon as I read his bio, my thought, and that of several other people who chimed in on my previous blogs about it, felt that he was suitably qualified to be a therapist member, and totally unsuitable to be the public member, based on the bylaws of the NCBTMB. He currently holds a license in two states, although the people trying to defend this decision have said he is retired, and he holds an office in another national organization, which is also against the by-laws, although I was told that he had agreed to quit that position if he was named to the NCBTMB. According to the current bylaws on the NCB website under 6.2 Qualifications. “No Director shall hold a national level office in another competing therapeutic massage and/or bodywork professional or trade organization” and further states………”A Director who is a public member shall not be a Certificant or a practitioner of therapeutic massage and/or bodywork within three (3) years of election, and shall have no material financial interest in the field of therapeutic massage and/or bodywork.” I honestly do not understand how the nominations task force thought he was an appropriate choice for the public member. To me, it’s a big “DUH!”

I also find it less than transparent that the press release did not say he was the public member, but rather put the spin on it that “he has worked for both practitioner rights and the rights of the public throughout his 40-year career.” On a regulatory board, the mandate is indeed to protect the safety of the public. However, this is not a regulatory board in spite of their numerous past attempts to appear as one, and a public member is supposed to represent the viewpoint of a consumer, not be an expert in the field. Watts appears to be an expert in the field with 40 years of experience. I don’t think he is representative of the average consumer and I defy anyone to dispute that. It sounds like splitting hairs, since I would have approved of him as a therapist member. My issue is that I don’t expect a therapist member and a public member to necessarily vote the same way. People have to remember that when you are serving a board, you are not supposed to just avoid a conflict of interest–you are also supposed to avoid the appearance of a conflict of interest.

I have briefly met Matthews a couple of times when I attended the FSMTA convention. She has been a school owner and instructor for 18 years. Baltz and McGillicuddy are both people I know and I am a big fan of both of them. However, I also question the way their appointments came about. Neither were on the ballot sent to certificants. The sudden departure of the previous Chair, Sue Toscano left a therapist seat empty that needed to be filled, so I will assume that was part of the reason. However, I am aware of several other people who had thrown their name in the hat for the election, and I do question that none of them were tapped to fill the empty seat. I have asked both Steve Kirin and Leena Guptha questions in the past about the election process, and they have both replied to me that they are not privy to the goings-on of the nomination committee.

I’ve been nationally certified since 2000, and it seems that there has been controversy on their election process many times….including one time years ago when I threw my own name in the hat. I was interviewed on the phone, and later notified that I had been chosen as a candidate. I was told to write a candidate statement and that it had to be X amount of words; I forget the number. When the ballots came out, the first thing I saw was that my own candidate statement looked ridiculously short compared to the others. I called them on the phone and asked why I was singled out for a short statement. Initially the person on the other end of the phone argued with me that I had misunderstood the instructions. When I sent him the email I had received from them proving my point, he had to back up and apologize, and said that I had received the first draft of the letter by mistake. He said “there’s really nothing we can do about it now.” I was not surprised when I wasn’t elected, because my statement looked idiotic compared to the other candidates. My attitude now is that it was a blessing in disguise that I wasn’t chosen; that particular regime was fraught with management trouble, board trouble, and lawsuits.

I have referred back to my own blogs from past years that had links to the NCBTMB website for the press releases that were put out about some of their major mistakes, and they have all been removed.

The NCBTMB has been dysfunctional for a very long time. Their financial revenues have fallen greatly since the introduction of the MBLEx. Their 990 for 2012 was just posted on Guidestar a couple of days ago and will be the subject of my next blog.

Dr. Leena Guptha stepped into the Chair position about a month ago. Leena is a positive person, and refers to herself as an ambassador for the organization. She has previously served as the national president of AMTA, and I have no doubts that she has the best of intentions. I have no doubts that the new board members, and any of the other people there have the best of intentions. I actually have no doubts that the immediately previous board and management had good intentions…but that has not yet turned things around. Dr. Guptha has stated to me that since she has a three-year term, she will have time to make a real difference and positive changes at the NCBTMB. Time will tell.

I feel that the NCBTMB is on their last chance to get it right. They do not have the financial resources to keep making mistakes. The PR spin that has been put on the new Board Certification doesn’t fly. People want advanced certifications in specific areas, and that hasn’t happened. Developing such things requires a lot of money, and I don’t know that they have it. Leena Guptha is organizing a Think Tank to gather input about the CE Provider program, and I initially agreed to serve on it. However, I’ve taken so much criticism for that in the past few weeks I have decided to back up and punt. I have publicly announced many times that I would not serve an another board as long as I am writing this blog, and even though a committee is not the same as a board of directors, people seem to be concerned that my impartiality will fly out the window. I had even stated to Dr. Guptha that my presence on the CE committee would not prevent me from blogging about them, and she said she didn’t expect it to. It’s a moot point now; I have withdrawn. Even though I am not on the board–it was one of those appearances of a conflict of interest that I referred to above.

I have also served on a previous CE revamping project at the request of Paul Lindamood. About 30 educators came together to discuss it, and the resounding theme was “go back to vetting the individual classes.” That advice has so far been ignored. Ergo, there are a lot of classes approved for CE that are in blatant violation of their own bylaws and that are an embarrassment to the profession and that should be an embarrassment to a board that holds itself out as “defining and advancing the highest standards.” Approving classes in flower fairies and shapeshifting  just doesn’t hold up to that mission statement. There is no need to wait for a Think Tank to start taking care of that situation; the new board needs to start taking care of it immediately.

As I said, I wish the new members luck, and I feel sure they’re going to need it. As always, you’re free to disagree with me; this is my blog and my opinion.

The Financial Health of Our Organizations: FSMTB

Note: For the past few years I have done a series of reports on the financial status of the non-profit organizations that represent the massage therapy profession. I obtain this information from Guidestar, a financial information clearinghouse for non-profits. The organizations can provide their Form 990 (Return of Organization Exempt from Income Tax) to Guidestar, and if they don’t, the IRS does it for them. I will state for the record that I am not an accountant or a financial analyst; I just report what I see (and maybe offer a few opinions). I usually get asked the question every year why I am not reporting on ABMP. Associated Bodywork & Massage Professionals is a privately-owned for-profit company, and they are not obligated to release their financial information. Non-profits are on a different filing schedule than the rest of us, and there is variance amongst them in when their fiscal year ends.

The Federation of State Massage Therapy Boards is as usual, in excellent financial condition. For the fiscal year ending 06/30/2012, they are showing revenues of almost $5.2M, up about $857K from 2011. Their expenses were slightly over $3.3M, leaving their net revenue for the year at over $1.8M. They also have assets of over $3.8M. Not too shabby for an organization that isn’t even ten years old yet.

Unlike some of our other organizations, the Board of Directors of the Federation are not compensated, with the exception of being reimbursed for travel expenses. They’re all volunteers. The Executive Director, Debra Persinger, was paid reportable compensation of $231,472 and a little over $49K in other compensation. Non-profits have to report the salaries of the directors, trustees, and the highest-paid employees and there were no others listed. Other wages and salaries were less than $74K total.

Pearson-Vue was paid a little over $1.4M for delivery of the MBLEx. Exam processing and development accounted for another $1.4M. The exam revenues were over $5M so none of that seems out of line.Travel expenses amounted to slightly over $30K, conventions and  meetings were almost $69K, not an unreasonable figure since they have a presence at all national events and some state ones as well. Advertising expenses were less than $22K; office expenses were slightly over $18K.

There’s really no story, here, folks. The FSMTB seems to be in fine shape, not overextending themselves, and building up healthy cash reserves.

 

An Interview with Dr. Leena Guptha, New Chair of the NCBTMB

From Laura Allen: I have skewered the NCBTMB in my blog several times over the years, including very recently. It has been a tradition with me for several years to interview the executives and chairs of the massage organizations as they come on board, so I am interviewing Dr. Leena Guptha. In fairness to her, I would like to state that she had only been the Chair for ten days when I went on my last and most serious rant about the organization, so I certainly do not hold her personally accountable for the things I have complained about. Here is the interview I conducted with her.

1. Dr. Guptha, please tell us about your background, work experience, and education.

Background: Daughter of a Scientist and a Philosopher, Wife of a Physician/Scientist, Mother of two Physicians, Grandmother of a two year old.

Work Experience: (Relating to Holistic Therapies and Lifelong Learning)

  1. Practicing: 23 years of manual therapy across three countries, with my primary interests in basic science, musculoskeletal alignment, ethics, research and business.
  2. Teaching: Science and Hands-On instructor at various Colleges including but not limited to Connecticut Center of Massage Therapy; University of Bridgeport; Chicago School of Massage Therapy; National University of Health Sciences; Pennsylvania Institute of Massage Therapy; Lehigh Valley College; and International College of Osteopathic Medicine.
  3. Administration: Held positions of Director of Education, Dean of Academic Affairs, Campus President in corporate schools.
  4. Research: The Ergonomics of Driving and Back Pain, teaching Research Literacy to graduate students, osteopathic dissertation supervisor.
  5. Volunteerism: NCBTMB, AMTA Chapter, AMTA National Board and the Massage Therapy Foundation.

Education; Massage Therapy (LMT), Osteopathic Medicine (DO), Naturopathic Medicine (ND), Acupuncture/Oriental Medicine (LAc), Complementary Medicine, Hypnotherapy (BCH) and Business (MBA Hons).

2. How did you first become interested in massage therapy?

When I was a child, my father had a hobby of tinkering with cars, (not that I recall any of them actually road worthy, sorry Dad), suddenly one day while under the bonnet (hood) as he lifted the battery and twisted—he suffered an acute low back pain. My three wise uncles advised painkillers, anti-inflammatory medication, and six weeks rest on a wooden door.

This acute phase passed and he was back to work six weeks later. The next time it happened there was no possibility of time off.  I saw him suffer in agonizing pain. I started feeling his back to see what actually hurt and what did not. As a child this lead me to develop a rudimentary sense of palpation and soft tissue.  Then I took my first massage therapy course at age 18 and have studied many modalities since. Interestingly, my father still has not needed the spinal surgery earlier recommended by my uncles and proposed more recently by his physician.

3. What led you to volunteer for service at the NCBTMB?

Through the development of a hospital based program and my own research, I felt strongly that therapists at the hospital should be nationally certified by NCBTMB. I took the exam too, later a newsletter with Cliff Korn on the front page came to our home in Madison, CT and this led me to become a volunteer.

Later, I moved to IL and visited the HQ of AMTA. During that tour, Liz Lucas said “you should become a member of the Association”.  At a similar time I visited the Indiana to present at their state conference and there I learned about volunteerism at the state level. I then discovered the  Illinois Chapter, who welcomed me with open arms, that led to various roles, including the passing of licensure during my Chapter Presidency. The Illinois Chapter encouraged me to meet the National AMTA Board, the first person I met at the meeting Laurel Freeman, encouraged me to run for the AMTA National Board.

A few years passed, and I was invited to be an appointed member of the NCBTMB Board of Directors by Alexa Zaledonis. Her zest for the massage profession and doing what is right was infectious and I was delighted to join the Board.

Today, seeking the Wisdom and the Pioneering Spirit of our founding educators, who turned a trade into a profession, with a solid grounding and deliverables, I volunteer as Chair of the Board. The historical path is inspiring. I volunteer today with Courage of my conviction that there is a rightful place for certification, specialized training, career path options, quality core education and approved providers of continuing education.

4. I know that you have read my most recent blog calling for the other massage organizations to make a concerted effort to get the NCBTMB removed from the statutory language and rules in the states. What is your response to that?

Each person’s opinion has to be respected and without the benefit of a detailed dialogue with you and a fuller grounding of the contextual relationships, I would be giving an inappropriate response. With that said, I can say that I am confused as to why you would call for the removal. Our licensing exams have been in existence for 20 years, have gone through the profession for vetting four times, and are psychometrically sound testing tools. Most of the states accept NCBTMB’s exams as an option for part of their licensing requirements as a tried and true validation of knowledge to enter the profession safely and competently.  What is wrong with giving therapists a choice in exams to take and a pathway to follow? While, admittedly, NCBTMB has not always done everything right, the value and quality of the NCBTMB exams have never been in question.

In regards to the CE Approved Provider Program, we recognized a few years back that we needed to strengthen the program and review it moving forward. Yes, we held meetings and came out with an advanced program that the profession felt was too restrictive and expensive. So, we went back to the drawing board, we talked to specific groups, held conference calls and put the program out for comment before our re-release last month. We totally understand that the profession is concerned about parts of it and we are more than happy to work through these concerns. This is not indicative of an organization that is not listening or is not responding to valid concerns raised. We are trying. We have to do better and we will.

I am deeply saddened to read disparaging remarks for an organization that was and will remain our alma mater, without whose credentials today, we would not have had the ability to re-invent and elevate ourselves as individuals and as a profession. However, I continue to welcome all critiques, and all constructive recommendations, and call on all serious members of our profession and our stakeholders to be part of the dialogue and solution.

5. What, if anything, does the NCBTMB plan to do about offering specialty certifications, and if they are going to do anything, is there a timeline for that happening?

The NCBTMB Sounding Board was surveyed on specialty certificates and the initial responses appear favorable and supportive. I encourage readers to join the Sounding Board as a mechanism to feed views and input directly to NCBTMB. (The Sounding Board is open to all certificants and can be found on the NCBTMB Facebook page). There appears to be an interest to develop specialties beyond the basic Board Certification, such that an individual could be Board Certified with a specialized concentration in for example Oncology, Sports, Orthopedics, Hospice or Mother and Baby.

Our plan was once the Board Certification credential was established we would continue the discussion and development of specialty certifications with the emerging think tank as well as our constituents.

As an educator myself, I see this as a viable tool for NCBTMB to provide massage therapists who want to grow their skills and abilities. 

6. What do you see as the biggest challenges facing the NCBTMB?

Maintaining and building the confidence of all stakeholder groups despite damaging and disparaging remarks however true or false they may be. Asking the alumni of NCBTMB like you to help us transform with the changing needs of our profession, and join with us to become a leader ahead of the curve.

7. How many people have actually taken the new Board Certification exam, and how many people have been grandfathered in?

When we adopted the Board Certification credential, we understood that its success could only be judged over a period of years. Current certificants could transition into it at recertification time and do not need to take the exam; new graduates would strive to achieve the credential as they became successful in their careers.

The majority of our Certificants are still Nationally Certified and have the option to transition to Board Certification at their renewal time. Currently of those who meet the new standards approximately 3000 have become Board Certified. New graduates with entry level credentials will not be eligible until they have been in practice for at least six months, so we expect these numbers to rise through better communication, outreach and as therapists become eligible and choose to be certified. 

Since our webinar last week and this week, I have become aware of confusion in the profession regarding transition to Board Certification, as well as Board Certification requirements from licensure. We have to do a better job reaching out and communicating both the value and the requirements. Though, our team is working on a daily basis to assist certificants successfully through the transition process, I would like to take the opportunity to address this with the audience here.

The value of Board Certification:

  • Provides a credential higher than entry level licensure
  • It distinguishes the advanced therapist from an entry level therapist
  • Shows a commitment to the profession and to the consumer
  • The medical profession uses and recognizes the Board Certification credential
  • It creates a career pathway as in other healthcare professions.

Requirements to Transition into Board Certification from National Certification:

750 hours of education

Graduate from an NCBTMB assigned school.

·        Additional hours can be submitted from courses taken in continuing education or accredited college or university

·         250 hours of professional hands on work experience (25 hours will be accepted in volunteer work)

·         Current CPR Certification, copy of current identification, sign to oppose human trafficking, Agree to the NCBTMB Code of Conduct, and agree to a criminal background check

Requirements for those seeking Certification for the first time:

·         Passing the Board Certification exam

·         Submit the above transition requirements after six months in practice

 

 

8. Please also address how far back the offer to grandfather people was extended, because I have heard from several massage therapists who let their certification expire years ago that they received an offer to be grandfathered, which definitely minimizes the value of this credential.

Whilst, I am not aware that there ever was a true grandfathering period, we did announce that those who were Nationally Certified would have the opportunity to recertify, or transition, to the new program without taking the new exam. All other criteria would still need to be met. Based on that, the transition time period would end 12/31/2016, since all renewals under the old four year renewal cycle will have concluded.

On a case-by-case basis, those whose certification had expired with NCBTMB in the last year were reviewed once all of their information was submitted. If all other criteria were met they could transition to Board Certification because they did not have the new Board Certification available to them.

Throughout the review process, NCBTMB was sensitive to the following past issues:

1.      In 2013, the grace period was changed to 90 days.  Formerly the grace period was three years after expiration.  Therapists that fell into this category and were not aware of the change, were reviewed and could recertify if they met all requirements.

2.      Experienced massage therapist that were disgruntled with NCBTMB in the past and who allowed their certification to expire, welcomed the new changes and wanted to be reinstated.  These cases also were individually reviewed and, if warranted, they could recertify if they met all requirements.

All reviews that resulted in a successful transition to Board Certification were made in the best interest of the certificants, the profession, the community, and in acknowledgement of past mistakes by NCBTMB.

9. I have long been questioning some of the classes that have been approved for NCBTMB that I and many others feel hurts the credibility of the NCBTMB. There are evidence-based practitioners who will not apply to be a provider because of their embarrassment at being associated with some of the classes that have been approved here. Do you share the sentiment that classes that are based on things that have been scientifically disproven, classes that are based on religion, and classes that are based on products that people just want to sell to the public are inappropriate, and if so, what is the NCBTMB going to do about that and when can we look forward to that happening?

This is a good example of a critique that is thoughtful and constructive. We agree that only qualified Approved Providers should be acceptable and we are actively engaged in ensuring this. My Blog on the ncbtmb.org website calls for experienced educators to form a think tank and from that I envision a collective wisdom, with recommendations, to emerge. I am delighted that you have agreed to participate in the think tank to address such issues with CE classes.

I can add that classes based on selling products specifically are inappropriate and do not qualify for CE credit. Our current course criteria can be viewed by going to: http://www.ncbtmb.org/continuing-education-course-criteria
It is my vision that, based on the considerations from the think tank, these will be reviewed and recommendations will be forthcoming.

10. This is your opportunity to say whatever you would like to say as the new Chair of the NCBTMB. Is there a message you would like to give?

As I have just taken over as Chair, my first 90 days will be spent taking stock and gathering support of colleagues like you who are passionate about the educational system of our profession and have authored books for educators. I would like to tap into that positive and constructive energy, to build on the foundations of the alumni of all of our constituents to be by my side and develop a think tank to learn from old mistakes and ensure that we develop a progressive and meaningful organization that continues the advancement of the profession.  Internal “navel-gazing” as well “external assistance seeking”, behavioral modification and reaching out to all stakeholders to work with us in a positive dialogue to find our rightful place in the profession are all priorities. These are some vital initial steps.

As it is still only the first month of my position as Chair, my priority is more about “listening” than speaking. I am still learning, evaluating, and I am inviting collaboration. 

Moving forward, we acknowledge that every organization that aims to be effective and strives to pioneer inevitably takes some missteps.  We acknowledge our mistakes and should we ever forget, we can count on you to remind us! That means we count. We have a role, and we matter.  Let’s take that energy and focus forward. I want us to collaborate and move forward together with positive, constructive dialogue. Trust that we are able to—and want to—learn from old mistakes.  I invite you and all other productive and passionate stakeholders to help us.  

Now, to the “listening”…my questions are:

  1. In what form, format, and media would certificants like to receive information regarding Board Certification?
  1. What would Approved Providers like to see as the approval process and how can that be realistically implemented?
  1. As a school owner/administrator how can NCBTMB create strong sustainable relationships, what do you need and want from us?
  1. To the entire community and profession at large what specialty board certifications do you want to attain and how do you see that curriculum or requirements being integrated together, give examples of courses, activities or other professional models?
  1. We have made some mistakes. We have had our ups, we have had our downs. What do we need to do to build support and collaboration of our constituents and professional stakeholder groups?

In conclusion, I’d appreciate constructive strategies and comments.  We will listen carefully.

Finally a quote from my ultimate mentor “……pilot takes off an airplane against the wind, not with it.……….. and the naval aviator lands despite the pitch and roll………

The Financial Health of Our Organizations: AMTA

For the past few years, I have been reporting on the financial health of the non-profit organizations of the massage profession. I am not an accountant or a financial expert. My information comes from Guidestar, a clearinghouse for non-profit information that is available to anyone. Non-profits may post their filings on Guidestar, and if they don’t do it, the IRS will do it for them. My annual reports do not include ABMP; they are a for-profit company that claims membership of more than 80,000 massage therapists, about 25,000 more than AMTA. Non-profits operate on a different filing schedule; the date of this filing was for the fiscal year beginning March 1, 2012 and ending February 28, 2013.

AMTA appears to be in a stronger financial position than last year’s filing, due to a huge jump of almost $1 million in their investment income. Let’s all hope that bodes well for investments in general in the US. Just two years ago, their investments had actually lost over $34K. According to the 990, AMTA actually lost 1030 members from the previous year, with the membership standing at 55,368 people as of February 2013. They are listing 79 employees, down 5 from last year. However, the organization still lists 850 volunteers, the same as last year.

Total revenues increased by over $824K. Salaries and other compensation went up by over $258K, in spite of the small reduction in employees. Overall, expenses increased by about $219K, so there was a little belt-tightening elsewhere. The bottom line, of revenue minus expenses, looks much better than last year, with an increase of over $605K.

The biggest expenditures for the organization are staff salaries, with 6 individuals listed who receive more than $100K a year in compensation. Then-Executive Director Shelly Johnson received a little over $265K. CFO Larry Laboda received over $149K, while current ED but then-Deputy ED received almost $160K. David French, listed as the Director of Marketing, was paid over $105K; Mark Tyle, Director of Chapter Relations, received over $108K, and Jocelyn Pysarchuk, listed as Director of Knowledge Transfer, received over $102K.

The 12-member Board of Directors at AMTA is also compensated in amounts ranging from $5K-6K for members-at-large to almost $40K for the President.

AMTA paid over $800K to Daniel J. Edelman, Inc, their public relations firm. That seems like a steep amount of money to me, and I wonder what they are doing that a Director of Marketing couldn’t do, or vice-versa. Outsourcing is okay, but I’d like to know the differences in what is handled in-house and what is not. That’s a question for one of my future interviews with the management. AMTA did undertake a big campaign to educate the public and raise awareness about massage this year with the traveling van and appearances all over the country. I certainly do not begrudge them spending that money; it was well-received and got a huge amount of media attention.

Other than investments, AMTA’s primary source of income is of course membership dues, which brought in over $11 million.

AMTA spent $72K on lobbyists last year, and personally, I’d like to see that figure raised in the next year. I recently called on AMTA and the other massage organizations to make a concerted effort to get the NCBTMB removed from all statutory language in the regulated states, and that’s going to require lobbying money. I suggest that they spend it in the interest of straightening out some of the mess that the massage profession is in.

Office expenses are more than $1.2 million. That’s a lot of paperclips. AMTA also spent more than $490K on travel. Hopefully, that’s economy class. Many massage therapists are struggling in our present economy.  I realize we can’t hold the national convention at Motel 6, but every year I hear from dozens of people who wish they could attend, but don’t, because of the cost.

I personally have enjoyed my years with AMTA. Our state chapter (NC) is one of the larger and more active chapters, and I haven’t missed one of the national conventions in years. The fellowship and volunteer spirit and continuing education opportunities there are alive and well; I’m sorry to see the organization is losing members instead of gaining. May that turn around as much as their investment income did. It doesn’t look like this organization is in any danger of going away anytime soon.